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. 2022 May 20;119(20):353–360. doi: 10.3238/arztebl.m2022.0104

Tabbe 2. Evidence table for therapeutic trials.

Reference Study features Treatment groups Endpoints Serious adverse events
Liu
2019
(14)
• 122 patients
•2010 – 2013
•Follow-up: 6 months
Chinese herbal medicine (n = 61)
4 weeks

Antibiotics (n = 61)
4 weeks
Chinese herbal medicine vs. antibiotics No clinically relevant side effects in either group
Symptom improvement
• ≥=95% symptomatic improvement:
31% (19/61) vs. 30% (18/61)
• ≥=70% symptomatic improvement:
48% (29/61) vs. 26% (16/61); p<0.05
• ≥=30% symptomatic improvement:
18% (11/61) vs. 39% (24/61); p<0.05.
• <30% symptomatic improvement or no response:
3% (2/61) vs. 5% (3/61)
Treatment efficacy:
90% (55/61) vs.
82% (50/61)

rUTI:
13% (8/61) vs.
20% (12/61)
rUTI in cured patients:
9% (5/55) vs.
14% (7/50)
Cai
2018
(23)
•93 patients
•2017
•Follow-up: 3 months
400 mg L-methionine, 100 mg Hibiscus sabdariffa, 100 mg Boswellia serrata
(n = 46)
one week
Antibiotics (n = 47) Short-term antibiotic therapy (according to the EAU guideline)
Combined preparation vs. antibiotics Combined preparation:
No side effects

Antibiotics: 14.9% (7/47) discontinuation of drug because of drug-related adverse events.
Clinical Improvement:
•30 days:
96% (44/46) vs. 100% (47/47)
•90 days:
96% (44/46) vs. 96% (45/47)
Quality of life:
•Baseline:
94.3 vs. 94.5
•30 days:
98.5 vs. 98.7
•90 days:
99.1 vs. 98.1

p<0.003

EAU: European Association of Urology, n: number of patients in trial arm, UTI: urinary tract infection, rUTI: recurrent urinary tract infection.